John Louis Ancona, PA

NPI #1003891649 in Oak Lawn, Illinois

Provider Information

NPI Number: 1003891649
Entity Type: Individual
Name: John Louis Ancona, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 7, 2005
Last Updated: Aug 19, 2015

Practice Location

Address: 4400 W 95TH ST
Address 2: SUITE 205
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2654
Phone: (630) 977-9764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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